Why Nurses Don't Want to Be Identified in Public?

This is a true, dramatized story to help highlight something important I learned in my first year of nursing. I remember hearing nurses tell stories about being in the public and not wanting anyone to know that they are a nurse. I always thought that was strange, because I've always been so proud of being an RN. But maybe things have changed. Nurses Relations Article

It's funny.

I remember hearing nurses tell stories about being in the public and not wanting anyone to know that they are a nurse. I always thought that was strange, because I've always been so proud of being an RN. Throughout nursing school, I liked the idea of some stranger asking me for medical advice, and being able to bless them with my expertise on the subject. Even as a new grad, I loved to show off my new found knowledge of all things human body. I am now officially no longer a new grad, although I'm still a new nurse. I've just finished up a little over my first year of nursing in a busy step-down unit at my local hospital. It's funny how much one year can change you...

Having just gotten off the last long 12 hour night shift of another long stretch of days, I decided to stop at my favorite hometown breakfast joint for a perfectly delicious Belgian waffle adorned with sliced strawberries and just the right dollop of whipped cream - yum. Talk about unwinding. There is nothing like slaving over patients all night only to gorge on some award winning breakfast and then slip quickly into a coma afterward. I took my normal seat at the breakfast bar and stared day-dreamily into, and almost through, the wall, until my server brought me my water and asked what I'd be having.

"The usual" will actually order me a heaping plate of biscuits and gravy complete with a side of wheat toast, so this time I had to specifically tell her what I wanted. You've gotta switch it up every now and again.

My eyes, as if in a cardinal fields of gaze test, subconsciously followed the waitress as she went to the order window, ripped off my order slip, and then walked back to the bar to pour the man who was sitting near me a cup of coffee.

"How are you doing?" She asked him as she poured.

Casually, he responds "I'm okay. Yeah, I'm just headed up to see my mother at the hospital shortly. She's getting some X-ray done, cause she's got lung cancer."

Mildly stunned at the man's suddenly sobering retort to what seemed like just a simple greeting, I began collecting bits of information to attempt to analyze the situation.

Did this man know the waitress, thereby being contextually appropriate in his depressing update on his mother's condition?

Based on some body language cues and the lack of eye contact, I don't think so. These waitresses know all of their regulars by name, and she didn't address him as such.

Did the waitress know his mother, somehow then making his comment relevant?

It would stand to reason if the answer to question 1 is no, then this one's answer is no as well.

If they truly did just meet and their relationship is strictly waitress/patron, then how will the waitress respond to this blunt, and relatively out-of-place, oddly intimate retort?

I looked up to see what she'd say. She had already had her back turned by the time he finished saying it, and was hastily preparing other people's breakfast items. It dawned on me that she may not have heard him.

This is when it happened.

A flash of fear fell over my body as I realized that I was the only one looking at him, and at the same time, obviously rocking my scrubs and other medical items including a huge name badge with the enormous initials "R.N." on it. "No!" I thought to myself. "He's going to continue the conversation with... ME!"

Visions rush my head of me obligatorily making polite, uninterrupted eye contact as he shells out his sad story - meanwhile my waffle rapidly cools in front of me like an arctic sun patient. He'll ask me an obnoxiously impossible question like "How long do patients like my mother usually live?" and I'll be forced to deflect and ask him more about her disease which he'll know nothing of the specifics. I'll ask what they're doing with her today. He'll be unsure. I'll offer him some vaguely hopeful cliche like, "Well, you never know..." in regards to her condition which means nothing if you actually think about it. We'll get nowhere. I'll apologize for his troubles. He'll thank me. I'll then be socially permitted to pick at my therapeutically hypothermic breakfast, all while awkwardly uncertain if the conversation is truly over or not.

In a desperate attempt to avoid this catastrophe, I immediately turn my head to the empty counter directly in front of me. A pause.

The waitress, finally finishing the task she was conducting, turned around and simply responded, "Awww, that's too bad," before delivering her goods to another table.

And just like that, it was over.

And, just like that, it dawned on me why those nurses didn't want to be identified as such in the general public. All at once, I felt a little guilty, and a little great. I felt as if I had grown up! What happened to me? The old me would have probably gone all Nightingale on him to try to heal his hurting heart STAT. I realized however, that there is maturity in recognizing that this was neither the time nor place to attempt this discussion. I knew what would happen. He would go to the hospital, and if he had a decent nurse, he'd get the comforting he may or may not need. He'd get his questions answered factually and appropriately. He'd get listened to. He'd do it the right way, and it would work, all without me needing to be involved.

I'll soon be starting a new position in the Surgical/Trauma ICU at a huge level 1 trauma center in another city. With any transition, it calls for some reflection on where you've come from, and hopes for where you'd like to go. I've learned a lot over the past year. I've learned that there's a vast amount of information that I don't know, and in turn, to be humble. I've learned not to care so much about people's opinions, or whether or not people are nice to me. "Screw 'em," I occasionally remind myself. I've learned to respectfully tell it how it is, and how to respectfully stand up for those who need it. And, among other things, I've learned not to identify myself as a nurse when I'm outside of the hospital unless absolutely necessary.

I wonder what I'll learn next year.

Specializes in SICU.

Sweet conversation.

Oh, and, the OP is a MAN! Not that you would have known...

I think the two different opinions come from two different interpretations of the story, which causes the disagreement. One side sees the interaction as a light, not-very-consequential moment in time, where the other side sees it as the man deeply hurting and strongly needing someone at that very moment. Maybe he is just making conversation, or maybe his world is coming to an end. Maybe he hardly knew his mother, or maybe she was his everything. The story doesn't give us enough information, making this impossible to distinguish. Maybe you both actually agree, and would react the same way in either situation, it's just that you both read the story, and the man's needs, differently.

I'm tiny, and I'm certain it'll be the 6 foot tall 300 pound man choking on his steak. I just know it.:( THAT's why I don't want to be identified as a nurse.

Specializes in ER, Addictions, Geriatrics.
I'm tiny and I'm certain it'll be the 6 foot tall 300 pound man choking on his steak. I just know it.:( THAT's why I don't want to be identified as a nurse.[/quote']

I have absolutely had this fear while out as well. At a whopping 5'2", I just know someone who is over 6 feet tall iss gonna make me have to try and help them haha.

Also. Just to throw in my two cents, I think its a little excessive to imply that someone isnt doing their duty as a decent human being for not engaging in every sad situation we may come across. Yes, that sad man may have been wanting someone to talk to, but the OP certainly shouldnt feel obligated to be that someone, nor feel badly that they didn't want to be.

Specializes in Mental Health.

Whenever, I wear scrubs in public I feel like a rock star...that's how much attention I get. Most people admire the salary attached to nursing. They assume you make this astronomical amount of money an hour...really funny to me.:roflmao: I do agree...sometimes it's nice to be asked medical questions...especially when I know the answer. ;)

Specializes in MDS/ UR.
As a confirmed Catholic, I am obligated to provide good counsel when the situation arises.

You, of course, are free to exercise your own will as to whether or not you choose to listen.

Still it is my duty to speak up, though I realize I will be expressing an unpopular belief.

It's Sunday. I hope you all have a peaceful day and try not to take my words as a personal attack- they were meant to challenge an attitude. Much like a Sunday homily does.

Semantics perhaps, but to say to 'challenge an attitude' particularly when you put a decidedly religious perspective on it comes off poorly.

It's sounds superior, judgmental and the very opposite of what you endorse.

Specializes in Emergency & Trauma/Adult ICU.
It sounds superior, judgmental and the very opposite of what you endorse.

Yes, it does, in the opinion of this confirmed Catholic.

Sweet conversation.

Oh, and, the OP is a MAN! Not that you would have known...

I think the two different opinions come from two different interpretations of the story, which causes the disagreement. One side sees the interaction as a light, not-very-consequential moment in time, where the other side sees it as the man deeply hurting and strongly needing someone at that very moment. Maybe he is just making conversation, or maybe his world is coming to an end. Maybe he hardly knew his mother, or maybe she was his everything. The story doesn't give us enough information, making this impossible to distinguish. Maybe you both actually agree, and would react the same way in either situation, it's just that you both read the story, and the man's needs, differently.

For me, the issue isn't the details of this one story, it's more about the big picture- the attitude being casually put forth that helping random people you run into in life when off the clock is a negative situation. That bothers me.

I find it interesting however that the whole story revolves around the fear that this stranger who want something from the OP because he was in scrubs. And, it turns out the man never even engaged the OP at all.

Personally, I find that the few questions I do get in public usually lead to frustration on the part of the asker because 1) I can't magically diagnose their problem ( I'm not a CT scan machine or insta-lab genie) so without the ability to run tests, who really knows conclusively what their problem is and 2) the 'nursing advice' I can give is usually something they already know or could look up online for themselves. Besides, who really expects a nurse to be the doctor and have all the answers? I know I didn't before I became a nurse.

But, what I can do is simply let a person talk, that may be all they need- to vent. I find myself saying, "I understand" a lot since nursing school. It seems to work. As a matter of fact, a nurse used it on me the other day when I was floated to another unit and was 'venting'...

Semantics perhaps, but to say to 'challenge an attitude' particularly when you put a decidedly religious perspective on it comes off poorly.

It's sounds superior, judgmental and the very opposite of what you endorse.

Sorry you feel this way. But, that is the usual response whenever someone brings their religious beliefs into an argument.

The truth is the truth- it's not situational.

Huh. So you're saying that it's my duty as a human being to be happy to talk to random strangers that invade my privacy? That to do otherwise means I am lacking in compassion? Interesting. I wonder what Ted Bundy's victims would think of that?

At any rate, since we're all throwing in our two cents, it's not really listening to a stranger's sob story that makes me not want to be identified as a nurse while off the clock. I can do that, that's easy. My biggest fear is having to do the Heimlich maneuver. Now that scares me.

Bundy, huh? Well, as native Floridian and from the era of Bundy ( and having studied him in my persuasion classes back in college along with Manson). I think what we all learned from Bundy was to have some common sense when dealing with strangers. You don't carry someone's books to their car! Keep your conversations out in the open. If your 'spidey sense' tells you this person is 'off', then maybe you need to walk away. But, seriously, we're talking about public, brief encounters. I think you'd be 'safe' talking to an elderly man in an IHOP!

You must not have studied Bundy too extensively, or you'd know that he didn't make anybody's spidey senses tingle. That's how he worked. Also, the OP did not say the man was elderly, nor did he identify the restaurant as an IHOP.

But anyway, you make being physically and emotionally exhausted after having spent the last 12 hours caring for others sound like a moral shortcoming. And attempting to put the weight of your particular brand of religion behind it it I find distasteful.

The truth is subjective.

Yes, it does, in the opinion of this confirmed Catholic.

It's sad so many Catholics shy away from evangelization. Have the courage of your convictions. Share the message. It is not being superior or judgmental to share the message of charity and love.

I can't believe I'm the only one who wanted to talk about the waffle. I can't stop thinking about it.

I think my best "I wish I wasn't obviously a nurse" moment was when the cashier in the Dunkin Donuts drive through wanted me to determine if her wrist was broken. And because I was so caught off guard, instead of making a joke about my x-ray vision, I actually palpated her wrist and stammered something out about it being hard to say and she should probably see her doctor.